Ketoscalp Anti-Dandruff Shampoo contains ketoconazole and zinc pyrithione, ingredients commonly used to manage dandruff. Ketoconazole helps control dandruff-associated fungal growth, while zinc pyrithione may help reduce scalp flaking and dandruff symptoms. The effectiveness may vary depending on the cause and severity of dandruff, scalp condition, and proper usage. Many people may notice improvement with regular use as directed, but results can differ from person to person. If dandruff is persistent, severe, or accompanied by redness, intense itching, scalp irritation, or hair fall, it is recommended to consult a dermatologist for proper evaluation and treatment advice.